Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $4,073.80 / $5,888.44	Facility		$1,621.81	$4,073.80	$5,888.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,698.24 / $2,137.96	Professional		$1,479.11	$1,698.24	$2,137.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $4,073.80 / $5,128.61	Professional		$2,754.23	$4,073.80	$5,128.61
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $2,754.23 / $3,890.45	Professional		$151.36	$2,754.23	$3,890.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,570.40 / $4,897.79	Facility		$2,137.96	$2,570.40	$4,897.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $2,137.96 / $8,511.38	Professional		$1,288.25	$2,137.96	$8,511.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $2,754.23	Professional		$2,570.40	$2,570.40	$2,754.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,290.87 / $4,570.88	Professional		$2,137.96	$2,290.87	$4,570.88
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $4,897.79	Facility		$2,137.96	$2,137.96	$4,897.79
United Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $5,370.32	Professional		$1,288.25	$1,288.25	$5,370.32
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $2,137.96	Professional		$2,137.96	$2,137.96	$2,137.96